Provider Demographics
NPI:1750066494
Name:ALLAN DORNEY CONSTRUCTION MN INC
Entity type:Organization
Organization Name:ALLAN DORNEY CONSTRUCTION MN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOUSIGNANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-741-1784
Mailing Address - Street 1:7830 MAIN ST NE
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-2520
Mailing Address - Country:US
Mailing Address - Phone:612-741-1784
Mailing Address - Fax:
Practice Address - Street 1:7830 MAIN ST NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-2520
Practice Address - Country:US
Practice Address - Phone:612-741-1784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service